Dissecting Aneurysm of the Hepatic Artery Caused by an Isolated Spontaneous Celiac Trunk Dissection

Higashiyama, Hiroshi; Imamura, Masayuki; Fujimoto, Koji; Oka, Yurika; Uehara, Tetsuya; Kumada, Kaoru; Yamamoto, Masayuki

doi:10.1016/j.avsg.2013.11.006

Cited by 12 publications

(13 citation statements)

References 45 publications

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“…14,30 Open surgical interventions in the chronic phase were performed in seven patients because of aneurysm formation. 3,5,9,12,14,36,37 Revascularization of the CA or its branches, with or without CA resection, was performed in seven patients, and ligation of the SA was performed in one patient.…”

Section: Journal Of Vascular Surgerymentioning

confidence: 99%

Outcomes of conservative management of spontaneous celiac artery dissection

Hosaka

Nemoto

Miyata

2017

Journal of Vascular Surgery

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Section: Journal Of Vascular Surgerymentioning

confidence: 99%

Outcomes of conservative management of spontaneous celiac artery dissection

Hosaka

Nemoto

Miyata

2017

Journal of Vascular Surgery

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“…3 However, as seen in our patient, chronic dissection of the common hepatic artery leading to arterioduodenal fistula presenting as melena is very unusual and not reported previously. 4 In cases of dissecting visceral artery aneurysms, the most common treatment modality offered was surgery, but with immediate mortality approaching 5%. In our patient, early diagnosis and nonsurgical, endovascular management proved beneficial with excellent outcomes in the short term, without need for surgical management.…”

Section: Discussionmentioning

confidence: 99%

An Odd Case of Melena: Chronic Celiac Artery Dissection and Hepatic Arterioduodenal Fistula

Kumar

Philips

Augustine

2018

Journal of Gastrointestinal and Abdominal Radiology

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We present the case of a 54-year-old chronic alcoholic man who presented to the emergency department with intermittent melena for 3 days. Imaging revealed a large dissecting pseudoaneurysm of the common hepatic artery with an arterioduodenal fistula in the second part of the duodenum. The pseudoaneurysm and fistula were managed with refined interventional techniques, and supply to the hepatic arteries was salvaged. In cases of melena that are difficult to diagnose through traditional means, early imaging and interventional management can prove beneficial and improve short-term survival.

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“…To the best of our knowledge, only three FMD cases have been reported to present with a spontaneous hepatic artery (HA) dissection, the last in 1994 [1–3]. There have been 27 cases of isolated HA dissection of any cause, most result in surgically managed aneurysms or are discovered incidentally on autopsy [4, 5]. Only one other reported FMD-related HA dissection was successful with medical treatment as our patient was [3].…”

Section: Introductionmentioning

confidence: 92%

Spontaneous hepatic artery dissection—a rare presentation of fibromuscular dysplasia

Stanhope

Kaufman

2016

Oxf Med Case Rep

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Fibromuscular dysplasia (FMD) is a rare condition that causes structural compromise of the blood vessel presenting either as an incidental radiological finding, dissection or stenosis usually of the renal or craniocervical arteries. Seldom, patients present with spontaneous dissection in visceral arteries and there are few reports of hepatic involvement. This report outlines the case of a 43-year-old female who presented with severe right upper quadrant pain with a subsequent diagnosis of FMD manifesting as spontaneous hepatic artery dissection. The patient was treated with conservative antiplatelet therapy and regular radiographic follow-up, decided by the treating team as no clear guidelines exist for management of this particular presentation of FMD. Surgical management is not currently recommended to this patient due to the risk of further dissection, but may be considered if there is severe haemodynamic compromise or refractory pain.

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Dissecting Aneurysm of the Hepatic Artery Caused by an Isolated Spontaneous Celiac Trunk Dissection

Cited by 12 publications

References 45 publications

Outcomes of conservative management of spontaneous celiac artery dissection

Outcomes of conservative management of spontaneous celiac artery dissection

An Odd Case of Melena: Chronic Celiac Artery Dissection and Hepatic Arterioduodenal Fistula

Spontaneous hepatic artery dissection—a rare presentation of fibromuscular dysplasia

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